Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.62 / $540.23 / $3,921.57	Facility		$118.62	$540.23	$3,921.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.24 / $250.00 / $522.50	Professional		$102.24	$250.00	$522.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.52 / $40.33 / $94.05	Facility		$20.52	$40.33	$94.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.09 / $39.09 / $153.57	Professional		$39.09	$39.09	$153.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.74 / $107.74 / $107.74	Facility		$107.74	$107.74	$107.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.44 / $146.93 / $450.00	Professional		$82.44	$146.93	$450.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $118.62 / $750.00 / $3,921.57	Facility		$118.62	$750.00	$3,921.57
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $279.82 / $494.18	Professional		$77.31	$279.82	$494.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00